Individual provider Active NPI

Loreta Kairaitiene, APRN

  • Gerontology Nurse Practitioner
  • St Petersburg, FL
National Provider Identifier
1063246130
Registry record updated Oct 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
APRN11034747 Issued in FL
Practice address
1839 Central Ave
St Petersburg, FL 33713-8900
Phone
(727) 322-1054
NPI assigned
Aug 29, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X APRN11034747 FL Primary

Addresses

Primary practice location

1839 Central Ave
St Petersburg, FL 33713-8900

Mailing address

1839 Central Ave
St Petersburg, FL 33713-8900
Phone (727) 322-1054

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241011002200 FL Practitioner - Nurse Practitioner 9234661570 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Professional Health Care of Pinellas, LLCGroup PAC ID 1658274675, 88 clinicians
Cerebrum Healthcare LLCGroup PAC ID 8729341847, 19 clinicians
Quantum Practitioner Services LLCGroup PAC ID 7214392810, 31 clinicians
Cardiac Vision LLCGroup PAC ID 9032349733, 66 clinicians

Practice addresses (Care Compare)

1839 Central Ave
St Petersburg, FL 33713-8900

1839 Central Ave
St Petersburg, FL 33713-9089
Phone (727) 322-1054

5121 E Serena Dr
Palm Terrace Alf
Tampa, FL 33617-4012
Phone (813) 988-0033

6547 Kenava Loop
Palmetto, FL 34221-2595
Phone (941) 218-0175

6817 Southpoint Pkwy
Suite 203
Jacksonville, FL 32216-6286
Phone (904) 231-1204

Hospital & facility affiliations

  • Adventhealth Home Health Home health agency, Altamonte Springs, FL, CCN 107211

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11034747FLMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cerebrum Healthcare LLC CurrentSince Oct 31, 2025 Accepting new patients
Quantum Practitioner Services LLC CurrentSince Dec 1, 2025 Accepting new patients
Vitae Health Medical Florida PLLC CurrentSince Apr 20, 2025 Accepting new patients
Nova Medical Services - Wound Care Division LLC CurrentSince Apr 13, 2025 Accepting new patients
Cardiac Vision LLC CurrentSince Apr 25, 2025 Accepting new patients
Professional Health Care of Pinellas LLC CurrentSince Oct 5, 2024 Accepting new patients
Professional Health Care of Pinellas Inc. CurrentSince Oct 5, 2024 Accepting new patients

Locations

6817 Southpoint Pkwy
Ste 203
Jacksonville, FL 32216
Phone (904) 256-9202

7807 Baymeadows Rd E
Ste 209
Jacksonville, FL 32256
Phone (904) 231-1204

1501 SE 24th Rd
Ocala, FL 34471
Phone (352) 257-7777

8600 US Highway 19 N
Pinellas Park, FL 33782
Phone (559) 784-8371

8701 49th St N
Pinellas Park, FL 33782
Phone (386) 760-7773

1839 Central Ave
St Petersburg, FL 33713
Phone (727) 322-1054

3225 S Macdill Ave
Ste 129300
Tampa, FL 33629
Phone (813) 324-1911

3225 S Macdill Ave
Tampa, FL 33629
Phone (813) 451-0013

2811 Campus Hill Dr
Tampa, FL 33612
Phone (813) 972-9700

8260 W Flagler St
Ste 2I
West Miami, FL 33144
Phone (786) 530-6272

6336 Fort King Rd
Zephyrhills, FL 33542
Phone (813) 640-0060

303 E Wacker Dr
Ste 1127
Chicago, IL 60601
Phone (312) 328-2347

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EIJHAA

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1724889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1063246130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1839 CENTRAL AVE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337138900",
            "telephone_number": "727-322-1054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1839 CENTRAL AVE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337138900",
            "telephone_number": "727-322-1054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAIRAITIENE",
        "first_name": "LORETA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-29",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "APRN11034747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.